NPI 1003570540

Samuel Bean

Practitioner Behavior Technician Boise, ID

Practice location

Address: 4232 N Waterford Pl, Boise, ID 83703-3490
Phone: (208) 871-2102

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1003570540
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2021
Record last updated: 29 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.